Breast Lift – Mastopexy

Age, weight loss, and pregnancy are factors that may cause your breasts to sag and droop. A breast lift procedure at Capek Plastic Surgery is an excellent solution to uneven breasts; a decreased breast volume, and sagging nipples and overstretched areolas. Dr. Capek’s goal is to recreate a more youthful shape and perky lift to your breasts. If you also feel there is inadequate breast volume, a breast augmentation with implants or natural breast augmentation may be recommended in combination with this procedure. Patients throughout the Capital District areas of Albany, Schenectady, Troy and Saratoga trust New York Plastic Surgeon Dr. Lucie Capek to perform their breast lift surgery. Many of our patients also travel from New York City, Vermont, Massachusetts and beyond to receive her skilled and compassionate care.

*Procedure performed by Dr. Capek
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Am I a good candidate?

If you are unsatisfied with your sagging breasts and wonder what a breast lift can do for you, contact our practice to schedule a consultation. Dr. Capek can fully determine your candidacy for this procedure based on your desires, your general health, and your realistic expectations. Some common reasons why women may consider a breast lift include:

  • Breasts that have inadequate fullness or firmness.
  • A nipple-areola complex that points down.
  • Breasts that are pendulous, but perfect in size.
  • Breasts that appear asymmetrical, not equal in size or shape.
  • You are finished having children and breastfeeding and want to restore your pre-pregnancy breast shape and perkiness.
  • Large, heavy breasts can be lifted, but results may not last as long as smaller breasts due to the effects of gravity. A breast reduction may be required to improve your results.

Before Your Procedure

An initial consultation with Dr. Capek will give you an opportunity to discuss your desired outcomes and learn about your breast lift procedure. She will advise on particular techniques and possibly additional cosmetic surgeries that can help reach your aesthetic goals. You should inform Dr. Capek if you are planning on having more children or losing weight since these lifestyle changes can affect the long-term results of your breast lift. To determine your ideal breast lift technique or other procedures necessary, she will examine your breast anatomy. If you feel your breasts are too large, she may recommend a breast reduction. If you feel your breasts are too small, Dr. Capek will recommend a breast augmentation with implants or a natural breast augmentation with autologous fat transfer. In any case, Dr. Capek wants you to be an informed participant in the procedure planning process, so that you are completely happy with your results.

As with any surgical procedure, you should be in a generally healthy state when considering a breast lift. Living a healthy lifestyle, including diet and exercise, will improve your chances for a successful outcome. It’s also important not to smoke cigarettes since it interferes with the body’s natural healing process. Following Dr. Capek’s preoperative guidelines can help ensure a smooth and uncomplicated procedure.

Your Procedure

A breast lift is typically performed under general anesthesia or local anesthesia with sedation in a surgical suite. Each breast lift technique is customized to your breast size and shape, areola size and position, the degree of sagging, skin quality, and how much excess skin needs to be removed. There are several options for incision patterns and techniques that Dr. Capek will choose from:

  • The “Anchor” Lift: This method involves an incision made around the areola, vertically down towards the breast crease, and horizontally along the crease (an anchor shape). The anchor incision is generally used for women who have severe sagging breasts, or for women undergoing a breast reduction or breast augmentation as well.
  • The “Lollipop” Lift: Also known as a keyhole incision is made around the areola and vertically down to the breast crease. This technique is helpful for women with moderate sagging and does not desire a breast augmentation with implants.
  • The “Donut” Lift: Also known as the periareolar incision, this involves an incision around the areola only. When Board-Certified Plastic Surgeon Dr. Capek utilizes this method with the placement of implants, it can provide excellent results for women with mild-to-moderate sagging breasts.
  • The “Crescent” Lift: A less commonly used method, a crescent lift involves an incision along the upper half of the areola. A crescent-shaped piece of skin is removed, and the surrounding skin is attached to the areola. This lift is usually performed in combination with breast augmentation in women with slightly sagging breasts.

Whichever technique is performed, Dr. Capek assures only minimalistic incisions will be created using the Harmonic® Scalpel, which helps minimize bleeding. During the breast lift procedure, Dr. Capek removes excess breast skin and relocates the nipple and areola to a higher, more youthful position. If your areola is stretched, this can be reduced in size as well. Skin that was located above the areola is then brought down and together to reshape the breast contour. Then excess skin is removed, and your incisions are closed, tightening the skin in the process. Scars are generally hidden with the natural shape of your breast, except for some light scarring that is generally covered by clothing.

Breast Lift with Breast Implants
Depending on your desired results, you may wish to have a breast lift with breast implants for a more dramatic improvement. After making the incisions for your breast lift, Dr. Capek will create a pocket where she will insert and position your implants in a sub-muscular (below the pectoralis muscle) or sub-glandular position. Then she will continue with the breast lift procedure accordingly to provide a more youthful, perkier breast appearance. 

After Your Procedure

Immediately following your procedure, you can expect to be wrapped in bandages while also wearing a compression garment to maintain your newly contoured chest. You will experience some redness, swelling, and discomfort after surgery. Other side effects include bruising, numbness, and itching, which generally go away within a few weeks. It is important to follow Dr. Capek’s post-operative guidelines to ensure a healthy recovery.

For the first few days after your breast lift, you will need to get out of bed for short periods of time, but avoid bending, lifting, or straining. You will be instructed to lay on your back to prevent any pressure on your breasts. After about a week, you may return to work depending on your occupation. You may be instructed to wear a support bra for a few weeks as the swelling reduces. Generally, sutures are removed approximately ten days after your surgery. After having scheduled follow-up appointments with Dr. Capek, she can inform you when you can return to regular activities.

Results from your breast lift procedure are long-lasting, as long as you don’t have dramatic weight fluctuations or go through a pregnancy. Although the breasts may set into a new position, the nipple position should remain the same.

What are the risks?

Breast lifts performed under the care of Dr. Capek have very infrequent complications. However, every surgical procedure carries some risk. Some common complications can include an adverse reaction to anesthesia, infection, bleeding, blood clots, and changes in sensation of your breasts. If you follow Dr. Capek’s instructions and advice before and after surgery, you can substantially reduce the risk of complications.

If you are troubled by a sagging, undesirable breast shape, a breast lift may be an excellent solution for you. Contact our office today to schedule your initial consultation with Dr. Capek. Our office is just 13 miles from Albany and 9 miles from Schenectady, New York.